| Family And Cosmetic Gentle Dentistry | |
|
5107 Gus Young Ln Edina MN 55436-1530 | |
| (952) 929-0641 | |
| (952) 929-1802 |
| Full Name | Family And Cosmetic Gentle Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5107 Gus Young Ln, Edina, Minnesota |
| Authorized Official Name and Position | Robert Luther Bodin (OWNER) |
| Authorized Official Contact | 9522249774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Cosmetic Gentle Dentistry 5107 Gus Young Ln Edina MN 55436-1530 Ph: (952) 929-0641 | Family And Cosmetic Gentle Dentistry 5107 Gus Young Ln Edina MN 55436-1530 Ph: (952) 929-0641 |
| NPI Number | 1760837041 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760837041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Minnesota) | Primary |
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